NPI | 1326207804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 13357) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA 13357) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |